Organization
BIO-IDENTIX, PLLC
Active
Organization
BIO-IDENTIX, PLLC
Active
Other names
Balanced Hormones & Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCREVEN EDGERTON M.D. (MEDICAL DIRECTOR)
(512) 459-4400
Entity
Organization
Contact information
Practice address
1010 W 9TH ST, AUSTIN, TX 78703-4924
(512) 459-4400
(512) 368-2388
Mailing address
1010 W 9TH ST, AUSTIN, TX 78703-4924
(512) 459-4400
(512) 368-2388
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
M1080
TX
Other
Enumeration date
06/25/2009
Last updated
11/01/2010
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